SADDLEBACK MEMORIAL MEDICAL CENTER (NPI# 1376598318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376598318 |
| Entity Type | Organization |
| Organization Name | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Other Organization Name | SADDLEBACK COORDINATED HOME CARE |
| Practice Address |
23521 Paseo De Valencia Ste 100 Laguna Hills CA 92653 |
| Mailing Address |
24451 Health Center Dr Laguna Hills CA 92653-3689 |
| Practice Telephone | 9494601500 |
| Practice Fax Number | 9494601522 |
| Mailing Telephone | 9498374500 |
| Mailing Fax Number | 9494523460 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | CHRIS FINCH (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 7143773218 |
| Is Organization Subpart | Y |
| Parent Organization Name | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 060000218 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA07072I | 05 |
| Other Name | Type Code |
|---|---|
| Saddleback Coordinated Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048511 | Saddleback Memorial Medical Center | Hospice Care, Community Based | 24411 Health Center Drive Suite 400, Laguna Hills, CA 92653 | 2006-06-08 |
| 1528183167 | Saddleback Memorial Medical Center | Durable Medical Equipment & Medical Supplies | 23961 Calle De La Magdalena, Suite 300, Laguna Hills, CA 92653 | 2007-03-20 |
| 1275576381 | Saddleback Memorial Medical Center | General Acute Care Hospital | 24451 Health Center Dr, Laguna Hills, CA 92653 | 2006-06-14 |
| 1114967114 | Saddleback Memorial Medical Center | Rehabilitation Unit | 24451 Health Center Dr, Laguna Hills, CA 92653 | 2006-06-07 |
| 1841275070 | Saddleback Memorial Medical Center | Pharmacy | 24411 Health Center Dr, 102, Laguna Hills, CA 92653 | 2005-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SADDLEBACK MEMORIAL MEDICAL CENTER | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 |
| Street Address |
23521 PASEO DE VALENCIA STE 100 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033559356 | Memorialcare Home Health - LLC | Home Health | 23521 Paseo De Valencia Ste 100, Laguna Hills, CA 92653-3126 | 2013-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992368765 | Absolute Health Care, LLC | Home Health | 23272 Mill Creek Dr Ste 205, Laguna Hills, CA 92653-7942 | 2019-04-17 |
| 1548654700 | Eirmd | Home Health | 27162 Woodbluff Rd, Laguna Hills, CA 92653-7533 | 2015-03-26 |
| 1306260088 | Hardwick Homecare Solutions, Inc. | Home Health | 23601 Moulton Pkwy, Suite 221, Laguna Hills, CA 92653-1979 | 2014-02-14 |
| 1114276201 | Orange County Comfort Care, LLC | Home Health | 22551 Montova, Laguna Hills, CA 92653-1910 | 2012-09-05 |
| 1821393489 | Laguna Home Health Services, LLC | Home Health | 25401 Cabot Rd Ste 117, Laguna Hills, CA 92653-5530 | 2011-01-12 |
| 1235458936 | Premier Healthcare Services, LLC | Home Health | 23046 Avenida De La Carlota Ste 210, Laguna Hills, CA 92653 | 2010-05-20 |
| 1528385143 | Care Plus Nursing Services, Inc. | Home Health | 22931 Triton Way Ste 236, Laguna Hills, CA 92653-1237 | 2010-04-21 |
| 1508037730 | Hcoa Oc Inc | Home Health | 23461 S Pointe Dr Ste 155, Laguna Hills, CA 92653-1574 | 2008-03-15 |
| 1053500652 | Level Home Health Inc. | Home Health | 22961 Triton Way, #b, Laguna Hills, CA 92653-1230 | 2007-10-18 |
| 1497788137 | Maxim Healthcare Services, Inc. | Home Health | 23421 S Pointe Dr Ste 200, Laguna Hills, CA 92653 | 2006-07-08 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on SADDLEBACK MEMORIAL MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.